Test 1 Study guide

Question 1

Infant has cyanosis, lessens when crying, audible stridor, rr 30 and labored

Answer 1

Bilateral choanal atresia

Question 2

Condition of mandibular hypoplasia and macroglossia

Answer 2

Pierre Robin Syndrome

Question 3

Intervention for infant w/ Pierre Robin Syndrome

Answer 3

Prone positioning

Question 4

T or F: Diagnosis of hernia through ultrasound

Answer 4

True

Question 5

Rt assess 1 m old with fever, increasing distress, which tool used to assess how sick pt is

Answer 5

Pediatric triangle

Question 6

14 year old, what question to ask social history

Answer 6

Tobacco use
School attendance

Question 7

Widening of nostrils is known as

Answer 7

Nasal flaring

Question 8

Child has 37 degrees, 28, 110 hr. What should be done?

Answer 8

Vitals are normal

Question 9

Early signs of respiratory distress:

Answer 9

Long exp phase
retractions

Question 10

Pathogen virus of acute resp tract:

Answer 10

RSV

Question 11

1 y old, fever, cough, wheezing, 50 rr, 150 rr, temp 100.4, bilateral exp wheezing

Answer 11

Bronchiolitis

Question 12

2 m old, rhinorrhea, congestion low grade fever,which is severe RSV

Answer 12

Right upper lobe atelectasis

Question 13

Child with fever, barking cough, stridor, steeple in throat

Answer 13

Laryngobronchitis (croup)

Question 14

2 y old barky cough, low fever, stridor, 110 hr, 22 rr, 95 sat, no retractions, no grunting

Answer 14

Do nothing

Question 15

4 y old, stridor, high fever, malaise, drooling. What condition?

Answer 15

Epiglottitis

Question 16

Cause of pleural effusion

Answer 16

Chf, moved central venous catheter

Question 17

Diagnostic test for asthma age > 5

Answer 17

Spirometry

Question 18

Teaching child how to use peak flow meter with diary. What should they record?

Answer 18

Highest of 3

Question 19

Instructing child with exercise asthma how to use rescue inhaler. When should they take it?

Answer 19

10-15 mins prior to

Question 20

14 with cf, 110 hr, increased sputum productions. What therapy to test microbial?

Answer 20

Sputum culture
Insensitivities

Question 21

8 y with cf, acute exacerbation. What therapy should we use?

Answer 21

Chest wall oscillation

Question 22

33 wk gestation supp o2 mom wants to kangaroo touch. What device?

Answer 22

Nasal cannula

Question 23

4 y on 8liter simple mask, fio2. What should the fio2 be set to?

Answer 23

35-60%

Question 24

Provider orders for stablefio2 delivery. What device?

Answer 24

High flow nasal cannula

Question 25

2 y old, supp o2, arrives on simple mask. What should you do?

Answer 25

Change to nasal cannula

Question 26

Abscess, stridor and sore throat. What treatment?

Answer 26

Aerosol attached to air entrainment mask

Question 27

Mask covered by bed linen. What do you expect to find?

Answer 27

Insufficient gas flow, co2 buildup

Question 28

Device for FRC with cpap effect

Answer 28

Heated high flow

Question 29

Condition normoscenic hypoxia most likely caused by

Answer 29

Cyanide poisoning

Question 30

Infants are nose breathers until what age?

Answer 30

18 months

Question 31

High risk asthma clinic visit, 10 y old, dpi instructions. How do you tell them?

Answer 31

Quick and deep

Question 32

Albuterol by svn; only during respiration delivered by

Answer 32

Breath actuated neb

Question 33

Rt administer budesonide with what device:

Answer 33

Breath enhanced neb

Question 34

Albuterol to 12 y old with asthma using svn. What can you assume from this method?

Answer 34

Less medication wasted

Question 35

Albuterol by svn to 14 with asthma, proper technique

Answer 35

Mouthpiece b/t teeth
High fowlers

Question 36

Medicated aerosol by jet neb, 8 m old, mask is too large. What should you do?

Answer 36

Stop treatment, get smaller mask

Question 37

High risk asthma clinic visit, mdi with spacer to 8yearold, breathing technique

Answer 37

Slow and deep

Question 38

Rt tobramycin for 3 y old with what delivery device

Answer 38

SVN

Question 39

Inhaled steroid to 3 y old with asthma by mdi. What’s the best way?

Answer 39

Valved holding chamber with a mask

Question 40

Can present in infant with hernia

Answer 40

Barrel chest
Concave abdomen

Question 41

Anatomical of infant resp system - cricoid cartilage

Answer 41

Cricoid cartilage is narrow,
Airways are floppy and prone to collapse